NPIMap

Individual provider Active NPI

David Allen Oberlander, M.D.

  • Neurology Physician
  • Conway, AR
National Provider Identifier
1790860716
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
E1748 Issued in AR
Practice address
400 Salem Rd
BLDG 3 Suite 1
Conway, AR 72034-6162
Phone
(501) 505-0400
Fax
(501) 505-0402
NPI assigned
Oct 26, 2006
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X E1748 AR Primary

Addresses

Primary practice location

400 Salem Rd
BLDG 3 Suite 1
Conway, AR 72034-6162

Mailing address

PO Box 11078
Conway, AR 72034-0019
Phone (501) 860-6130

Other identifiers 1

IdentifierTypeStateIssuer
1344820001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040110000195 AR Practitioner - NeurologyPractitioner - Psychiatry 6709786395 Reassigns benefits to 2 organizations
I20210223002251 NE Practitioner - Neurology 6709786395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Indiana University School of Medicine, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Salem Rd
Suite 1
Conway, AR 72034-7534
Phone (501) 269-7410

P O Box
Conway, AR 72034-0019

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.07 of 100Reported as group
Quality
62.54
Promoting interoperability
98
Improvement activities
40
Cost
72.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E1748ARMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Physicians Clinic Neurology CurrentSince Jan 30, 2021 Accepting new patients
Conway Neurology PA Neurology CurrentSince Apr 14, 2010 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Locations

400 Salem Rd
Ste 1
Conway, AR 72034
Phone (501) 269-7410

3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355

3911 Avenue B
Ste 2300
Scottsbluff, NE 69361
Phone (308) 630-1055

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1790860716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11078",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720340019",
            "telephone_number": "501-860-6130",
            "fax_number": "501-860-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SALEM RD",
            "address_2": "BLDG 3 SUITE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346162",
            "telephone_number": "501-505-0400",
            "fax_number": "501-505-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERLANDER",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "E1748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1344820001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.